— 心理社會完整性 · MEDIUM · MCQ —
護理師照護一位剛喪偶的個案，個案表示：「我不知道沒有他，我以後該怎麼辦。」下列哪項護理師的回答最具治療性？
A nurse is providing care to a client who recently lost a spouse. The client states, 'I just don't know how to go on without them.' Which statement by the nurse is therapeutic?
- AYou should focus on your children now你現在應該專注於你的孩子
- BWhy do you feel that you cannot go on?你為什麼覺得自己無法繼續下去？
- CIt sounds like you are feeling very lost right now✓ 正解聽起來你現在感到非常迷茫
- DEverything will be okay in time時間久了一切都會好轉的
— Explanation · 中文詳解 —
護理師應使用「反映感受」（reflecting feelings）的溝通技巧，幫助個案表達與釐清內在情緒。C 選項確認並同理了個案的無助感，是開放式且具備支持性的互動。其他選項涉及錯誤的建議、評價或給予虛假安慰，這些在悲傷輔導中應盡量避免。
The nurse should use the therapeutic communication technique of reflecting feelings to validate the client's emotional state and encourage expression. Option C acknowledges the client's sense of loss and helplessness, fostering a supportive environment, whereas the other options offer unsolicited advice, ask defensive questions, or provide platitudes that dismiss the client's grief.
✦ 台美臨床差異
美台護理教育均強調治療性溝通，但在台灣臨床節奏快，護理師常受限於時間而縮短此類對話。